Chapter 22: Self-Concept and Sexuality

Chapter 22: Self-Concept and Sexuality

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. Kate is caring for Nancy, a 34-year-old abused woman, who was admitted to the hospital with multiple rib fractures that she received from her partner. Nancy states, “I don’t blame Mike for what he did to me; I can be so stupid sometimes.” Kate recognizes this statement as a manifestation of which of the following?

ANS:   B

Self-concept is your view of who you are. It is a combination of unconscious and conscious thoughts, attitudes, and perceptions. Self-concept, or how you think about yourself, directly affects your self-esteem, or how you feel about yourself.

PTS:    1                      DIF:    Cognitive Level: Analysis                  REF:    603

OBJ:    Discuss ways in which your self-concept and nursing actions affect your patient’s self-concept and self-esteem                              TOP:               Nursing Process: Assessment

MSC:   Client Needs: Psychosocial Integrity

2. Lilly is a 66-year-old patient who has been admitted to the hospital for a stroke. Her health care provider has told her that she should consider retiring from her high-stress position as a hospital administrator. Lilly is distraught over this suggestion. The nurse caring for her recognizes the most likely cause of distress is due to:

ANS:   B

Role performance is the way in which a person views his or her ability to carry out significant roles. Common roles include mother or father, wife or husband, daughter or son, sister or brother, employee or employer, and nurse or patient.

PTS:    1                      DIF:    Cognitive Level: Analysis                  REF:    603

OBJ:    Discuss factors that influence the following components of self-concept: identity, body image, and role performance         TOP:    Nursing Process: Assessment

MSC:   Client Needs: Psychosocial Integrity

3. Frank is a nurse who works at a pediatric clinic. Elliott is a 16-year-old patient who is in the clinic for his annual check-up. During the assessment, Frank asks Elliott about his use of tobacco. Although he denies smoking, he tells Frank that he dips snuff. He tells him that he started last year because all his friends do it. Frank recognized this as a stressor of:

ANS:   B

An adolescent who wants to be identified as part of the popular crowd at school develops a poor self-concept if not included in that group. Family and cultural factors sometimes influence negative health practices, such as cigarette smoking.

PTS:    1                      DIF:    Cognitive Level: Application             REF:    600

OBJ:    Discuss factors that influence the following components of self-concept: identity, body image, and role performance         TOP:    Nursing Process: Assessment

MSC:   Client Needs: Psychosocial Integrity

4. Robert is a 47-year-old patient who has recently undergone surgery to remove a tumor from his colon. As a result of his surgery he has a colostomy. Robert’s nurse is planning his care and would like to incorporate measures to support the adaptation to stress. Which of the following is least likely to support Robert’s adaptation to stress?

ANS:   D

Measures that support adaptation to stress, such as proper nutrition, regular exercise within the patient’s capabilities, adequate sleep and rest, and stress reducing practices contribute to a healthy self-concept.

PTS:    1                      DIF:    Cognitive Level: Analysis                  REF:    614

OBJ:    Discuss ways in which your self-concept and nursing actions affect your patient’s self-concept and self-esteem                              TOP:               Nursing Process: Implementation

MSC:   Client Needs: Health Promotion and Maintenance